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General NPI Number Information
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NPI Number | 1831962331
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Entity Type | Organization
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Legal Business Name | TRUE LIGHT WELLNESS
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Dates
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Enumeration Date | 11/06/2023
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 2501 CHATHAM RD
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City | SPRINGFIELD
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State | IL
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Zip | 62704-4188
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Country | US
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Telephone | 269-390-3405
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Fax | 269-248-8415
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Provider Business Mailing Address
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Address Line | 2222 W GRAND RIVER AVE STE A
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City | OKEMOS
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State | MI
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Zip | 48864-1604
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NP
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Name | MONDAY OGBEIBOR
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Credential | MSN
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Telephone | 269-419-1701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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